Accurate cardiac CPT coding, proper global period and modifier use, and fewer payer denials for cardiology practices, handled by a dedicated billing team.
Cardiology billing combines office visits, in-office diagnostics, procedures and ongoing device monitoring, each with its own payer rules. Global periods, same-day testing, medical necessity requirements and strict documentation standards all affect payment. A small error can lead to a denial, a bundling edit or an underpayment. Our team handles these details so your cardiologists can focus on patient care.
We track each claim from charge entry to final payment so no revenue is left behind.
We review pending and unpaid claims every day and follow up with payers promptly.
We match each test and procedure to payer coverage policies before the claim is submitted.
We catch missing details, modifier errors and coding mismatches before they cause denials.
From scheduling to final payment posting, each stage of our process is built around how cardiac services are coded, reviewed and reimbursed.
We verify coverage and obtain approvals for nuclear stress tests, cardiac CT and MRI, and elective procedures before the service is performed.
Coders assign accurate codes for ECG, echocardiography, Holter monitoring and stress testing, including the global, professional (26) and technical (TC) split.
We code catheterizations, angioplasty and stent placement (92920–92944, 93452–93461) based on vessels treated and documented findings.
We apply modifiers such as 25, 59, 24 and 79 correctly, so visits during global periods and same-day services are not bundled or denied.
We bill pacemaker and defibrillator checks, loop recorder reviews and remote monitoring services, with time and frequency requirements tracked for each.
We analyze denial patterns, file timely appeals and chase aging A/R to protect your collections.
We support every step from patient intake and insurance verification to coding, claim submission, payment posting and patient statements. The goal is steady cash flow and less administrative work for your staff.
Building an in-house billing team means salaries, software, training and constant payer updates. One missed modifier or an unauthorized test can cost far more than the work itself. With RCM360 Solutions you get experienced cardiology billers without the overhead, along with clear reporting and a team that keeps up with CMS and payer changes.
We work inside the EHR/EMR and cardiology systems you already use, so your clinical team keeps its current workflow. Our team pulls charges, test results and patient details directly from your system to keep billing accurate and on time.
See where your practice may be losing revenue. Share your details and our team will review your denials, A/R and coding, then send you a clear list of improvements.See where your practice may be losing revenue. Share your details and our team will review your denials, A/R and coding, then send you a clear list of improvements.
We support cardiology practices across the country and understand each state’s payer requirements.
Yes. We offer free online consultations where we review your current billing process, find revenue gaps and explain how our cardiology billing services can improve your collections.
Yes. We handle global billing as well as separate professional (26) and technical (TC) claims, so each service is billed correctly based on who owns the equipment and who interprets the test.
Yes. We bill pacemaker, defibrillator and loop recorder services and track the time and frequency rules for remote monitoring, so each service is claimed correctly.
We review each visit and test together and apply modifiers such as 25 and 59 only where the documentation supports a separate service. This keeps same-day visits, tests and procedures from being denied as bundled.
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